RN, Inpatient Case Manager, Full Time
16 hours ago
Reviews all new inpatient admissions within 24 hours and begins the discharge planning process immediately. Assesses high risk patients in need of post-hospital care planning. Develops and coordinates the implementation of a discharge plan to meet each patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies to enhance the effect of a seamless transition from one level of care to another across the continuum. Ensures that the appropriate level of care is being delivered in the most appropriate setting. Recommends alternative levels of care and ensures compliance with federal, state and local requirements.
Performs psychosocial assessments on all patients that meet the high risk indicators for discharge planning. Comprehensively assesses patients goals as well as their biophysical, psychosocial, environmental, economic/financial, and discharge planning needs. Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions and discharges in the patients Kaiser Permanente electronic medical record. Makes post discharge follow-up calls to all patients who are not referred to an ambulatory case/care management program.
Attends scheduled rounds 2 times/week with the Physician Director of Resource Stewardship to discuss clinical course and discharge planning for assigned patients identifying any real or potential delays in care or quality of care issues.
Acts as a liaison between inpatient facility and referral facilities/agencies and provides case management to patients referred, serving as an advocate for patients and families. Coordinates transfer of patients to appropriate facilities; Builds highly effective working relationships with physicians, SNF staff, vendors, and other departments within the health plan./>Minimum two (2) years of experience in patient care delivery or completion of Masters degree in Case Management Program in lieu of minimum years of experience./>Associates Degree Nursing.
License, Certification, Registration
Licensed Registered Nurse (Temporary - Georgia)
Additional Requirements:
Demonstrated advanced communication and interpersonal skills with all levels of internal & external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, outside agencies, and members of the community.
Ability to collaborate effectively with multidisciplinary healthcare team.
Functional knowledge of computers.
Experience with managed health care delivery including Medicare.
Knowledge of the Nurse Practice Act, TJC, DMHC, CMS, NCQA, HIPPA, ERISA, EMTALA & all other applicable federal/state/local laws & regulations.
Fundamental word processing & computer navigation skills & the ability to interpret & use analytic data in day to day operations.
Knowledge of healthcare benefits associated with various business lines./>Minimum five (5) years of clinical nursing experience in a hospital setting.
Minimum five (5) years of professional practice experience in an acute care setting.
Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred.
Bachelors Degree in Nursing, Health Care or Masters degree in Case Management.#2024ANCC
PrimaryLocation : Georgia,Decatur,Emory - Decatur
HoursPerWeek : 36
Shift : Day
Workdays : Fri, Sat, Sun
WorkingHoursStart : 07:30 AM
WorkingHoursEnd : 08:00 PM
Job Schedule : Part-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : NUE-GA-01|NUE|Non Union Employee
Job Level : Individual Contributor
Job Category : Nursing Licensed & Nurse Practitioners
Department : EMORY DECATUR - Medical Office Administration - 2808
Travel : Yes, 5 % of the Time
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
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